Assessments and measurements Sociodemographic information, anthropometric measurements and details of type and duration of ART regimen were recorded. Patients' self-perception of lipodystrophy (lipohypertrophy and lipoatrophy) was obtained using standardized questionnaires and clinically confirmed by the physician at the ART center. Lipoatrophy was defined as facial fat loss, peripheral fat loss on arms, legs or buttocks. Lipohypertrophy was defined as central fat gain on upper back, chest or abdomen. The questionnaire was administered in the local language (Tamil), which